Dr Ryan Bourg, DC in Shreveport, LA - Medicare Chiropractor Provider

Dr Ryan Bourg, DC is a medicare enrolled "Chiropractor" provider in Shreveport, Louisiana. His current practice location is 1370 E 70th St, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 670-3318.

Dr Ryan Bourg is licensed to practice in Louisiana (license number 1885) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629721741.

Contact Information

	Dr Ryan Bourg, DC
	1370 E 70th St, Shreveport, LA 71105-4924
	(318) 670-3318
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ryan Bourg
Gender	Male
Speciality	Chiropractor
Location	1370 E 70th St, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629721741
Provider Enumeration Date: 01/28/2022
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 8426594359
Enrollment ID: I20240726002081

Medical Identifiers

Medical identifiers for Dr Ryan Bourg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629721741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	1885 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ryan Bourg allows following entities to bill medicare on his behalf.

Provider Name	Alvin C Moreau Jr Licensed Physical Therapist Dtd 01 15 82
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1770568669 PECOS PAC ID: 3173419298 Enrollment ID: O20180207001400

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ryan Bourg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ryan Bourg, DC 4903 Laurel Ln, Bossier City, LA 71111-5407 Ph: (985) 637-2851	Dr Ryan Bourg, DC 1370 E 70th St, Shreveport, LA 71105-4924 Ph: (318) 670-3318

Reviews and Comments

Chiropractor in Shreveport, LA

Dr. Carl Rodney Crews Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 915 Olive St, Shreveport, LA 71104 Phone: 318-220-7688 Fax: 318-220-7690
Dr. Robert L Zahn, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1005 Southland Park Drive, Shreveport, LA 71118 Phone: 318-688-1221 Fax: 318-686-4714
All The Way Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8575 Fern Ave Ste 101, Shreveport, LA 71105 Phone: 318-797-2587 Fax: 318-797-2588
Dr. Silas T Jennings, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1520 N Hearne Ave, Shreveport, LA 71107 Phone: 318-222-6297
Dr. Kerry Dee Tarvin, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3431 N Market St, Shreveport, LA 71107 Phone: 318-425-2225 Fax: 318-425-2221
Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7330 Fern Ave, Suite 303, Shreveport, LA 71105 Phone: 318-798-5557 Fax: 318-798-5558
Dr. Diamond Brown, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1950 E 70th St Ste Cd, Shreveport, LA 71105 Phone: 318-470-7516 Fax: 318-209-3841

Dr Ryan Bourg, DC - Medicare Chiropractor in Shreveport, LA